کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1087317 1487209 2016 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Geography matters: state-level variation in children's oral health care access and oral health status
ترجمه فارسی عنوان
مسائل جغرافیا: تنوع در سطح دولت در دسترسی به مراقبت های بهداشت دهان و دندان کودکان و وضعیت بهداشت دهان و دندان
کلمات کلیدی
آژانس تحقیقات و کیفیت مراقبت‌های سلامت؛ ضریب تغییرات؛ سلامت دندان منطقه کمبود حرفه ای؛ سطح فقر فدرال؛ سازمان ملی بهداشت کودکان؛ انحراف استاندارد؛ تغذیه تکمیلی روابط عمومی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های عفونی
چکیده انگلیسی

ObjectivesTo ascertain differences across states in children's oral health care access and oral health status and the factors that contribute to those differences.Study designObservational study using cross-sectional surveys.MethodsUsing the 2007 National Survey of Children's Health, we examined state variation in parents' report of children's oral health care access (absence of a preventive dental visit) and oral health status. We assessed the unadjusted prevalences of these outcomes, then adjusted with child-, family-, and neighbourhood-level variables using logistic regression; these results are presented directly and graphically. Using multilevel analysis, we then calculated the degree to which child-, family-, and community-level variables explained state variation. Finally, we quantified the influence of state-level variables on state variation.ResultsUnadjusted rates of no preventive dental care ranged 9.0–26.8% (mean 17.5%), with little impact of adjusting (10.3–26.7%). Almost 9% of the population had fair/poor oral health; unadjusted range 4.1–14.5%. Adjusting analyses affected fair/poor oral health more than access (5.7–10.7%). Child, family and community factors explained ∼¼ of the state variation in no preventive visit and ∼½ of fair/poor oral health. State-level factors further contributed to explaining up to a third of residual state variation.ConclusionGeography matters: where a child lives has a large impact on his or her access to oral health care and oral health status, even after adjusting for child, family, community, and state variables. As state-level variation persists, other factors and richer data are needed to clarify the variation and drive changes for more egalitarian and overall improved oral health.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Public Health - Volume 134, May 2016, Pages 54–63
نویسندگان
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